[PDF] - Overview of the Overview of the New Food Package Policies New Food PDF Document

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6/17/2009 1

Overview of the Overview of the New Food Package Policies New Food Package Policies

Presenters Presenters Presenters Presenters Denise Gearhart, MS, RD Denise Gearhart, MS, RD

Contractor, MI WIC Program Contractor, MI WIC Program

Regina Poole, MS, RD Regina Poole, MS, RD

Nutrition Consultant, MI WIC Program Nutrition Consultant, MI WIC Program

Outline Policy Overview Outline Policy Overview

Why New Food Packages

7.01 Food Package Determination

7.02 Authorized WIC Foods

Break

7.04 Maximum Food Packages

7.05 Customized Food Packages

7.05 Customized Food Packages B k B k

Break

MI

MI-

WIC Implementation Process

WIC Implementation Process

Staff Educational Resources

Questions

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6/17/2009 2

Policy Overview Goal Policy Overview Goal

To inform staff of the new food package To inform staff of the new food package changes changes

Policies 7.01, 7.02, 7.04, and 7.05

MI

MI-

WIC implementation process

WIC implementation process

Staff educational resources

Policy Overview Objectives Policy Overview Objectives

Describe why the food packages are

Describe why the food packages are changing. changing.

Understand the policies related to the new

Understand the policies related to the new food packages food packages

Understand the MI

Understand the MI-

WIC implementation

WIC implementation processes processes processes. processes.

Identify ways to communicate the new food

Identify ways to communicate the new food package changes to clients and providers. package changes to clients and providers.

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6/17/2009 3

WIC Changes Since 1972 WIC Changes Since 1972-

74

74 Expanded food supply

Expanded food supply

WIC population more culturally diverse

Obesity

Obesity -

major public health problem

major public health problem

New Food Packages New Food Packages

Greater amounts of nearly all of the nutrients of

Greater amounts of nearly all of the nutrients of concern. concern.

Less saturated fat, cholesterol, total fat, and

Less saturated fat, cholesterol, total fat, and sodium. sodium.

More consistent with Dietary Guidance.

Wider appeal to diverse populations

Wider appeal to diverse populations—more more choices. choices.

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Food Package Changes Food Package Changes

Fresh fruits and vegetables.

Whole grains such as whole grain bread and soft

Whole grains, such as whole grain bread and soft

Whole grains, such as whole grain bread and soft corn and whole wheat tortillas. corn and whole wheat tortillas.

Canned beans as an additional legume option for dry

Canned beans as an additional legume option for dry beans or peanut butter. beans or peanut butter.

Infant fruits and vegetables for all babies; infant

Infant fruits and vegetables for all babies; infant meats for exclusively breastfed babies meats for exclusively breastfed babies meats for exclusively breastfed babies. meats for exclusively breastfed babies.

Less juice, milk, cheese, and eggs for women and

Less juice, milk, cheese, and eggs for women and children; no juice for babies. children; no juice for babies.

New Food Packages New Food Packages Reinforce Nutrition Messages Reinforce Nutrition Messages

E t f it d t bl E t f it d t bl

Eat more fruits and vegetables

Lower saturated fat and cholesterol intake

Increase whole grains and fiber

Drink less juice and sweetened beverages

Babies are meant to breastfeed

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Changes in Food Packages and Changes in Food Packages and Terminology Terminology

Old Food Packages Old Food Packages New Food Packages New Food Packages O d

od

ac ages O d

od

ac ages e

od

ac ages e

od

ac ages

Standard Food Package……..Maximum Food Package Standard Food Package……..Maximum Food Package Tailored Food Package………Customized Food Package Tailored Food Package………Customized Food Package Special Formula Package…....Food Package for Qualifying Special Formula Package…....Food Package for Qualifying p g g y g p g g y g Conditions Conditions

Revised Food Package Policies Revised Food Package Policies

7 01 7 01 – Food Package Determination Food Package Determination 7.01 7.01 Food Package Determination Food Package Determination 7.02 7.02 – – Authorized WIC Foods Authorized WIC Foods 7.03 7.03 – – Food Package for Qualifying Conditions Food Package for Qualifying Conditions 7.04 7.04 – – Maximum Food Package Maximum Food Package 7.05 7.05 – – Customized Food Package Customized Food Package

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7.01 Food Package Determination 7.01 Food Package Determination

The CPA shall assign a food package for each client,

The CPA shall assign a food package for each client, taking into consideration the client's age and taking into consideration the client's age and nutritional needs nutritional needs nutritional needs. nutritional needs.

Assign a maximum food package to a client unless it

Assign a maximum food package to a client unless it is not appropriate. is not appropriate.

If not appropriate assign a customized food package

If not appropriate, assign a customized food package.

Assigned food package shall only be for the client’s

Assigned food package shall only be for the client’s personal use. personal use.

7.02 Authorized WIC Foods 7.02 Authorized WIC Foods

Infant Foods

Infant Foods – – cereal, cereal, fruits, vegetables, meats fruits, vegetables, meats

Breakfast Cereal

Juice

Cheese

Eggs

Milk

Tuna

Fresh Fruits and Vegetables

Fresh Fruits and Vegetables g

Mature Legumes

Mature Legumes – – mature dry beans and peas, mature dry beans and peas, mature mature canned beans and peas canned beans and peas, peanut butter , peanut butter

Whole Wheat/Whole Grain Breads and Tortillas

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6/17/2009 7

Infant Foods Infant Foods

Infant Cereal

Beech

Beech-Nut Gerber or Nature’s Nut Gerber or Nature’s Beech Beech-Nut, Gerber, or Nature s Nut, Gerber, or Nature s Goodness: Goodness:

Rice, oatmeal, barley mixed grain,

Rice, oatmeal, barley mixed grain, multigrain and whole wheat. multigrain and whole wheat.

8 oz. or 16 oz. box or carton only.

No organic or DHA cereal allowed.

Infant Foods Infant Foods

Infant Fruits Infant Fruits Single ingredients only. 4 oz. glass jars. Multipacks

Single ingredients only. 4 oz. glass jars. Multipacks are allowed. No organic or DHA allowed. are allowed. No organic or DHA allowed.

Beechnut

Beechnut – – Stage 2 Stage 2

Applesauce, Chiquita Bananas, Peaches, Pears

Gerber

Gerber – – 2nd Foods 2nd Foods

Applesauce, Bananas, Pears

Nature’s Goodness

Nature’s Goodness – – Stage 2 Stage 2

Applesauce, Bananas, Peaches, Pears.

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Infant Foods Infant Foods

Infant Vegetables

Single ingredients only. 4 oz. glass jars.

Single ingredients only. 4 oz. glass jars. Multipacks are allowed No organic or DHA Multipacks are allowed No organic or DHA Multipacks are allowed. No organic or DHA Multipacks are allowed. No organic or DHA allowed. allowed.

Beechnut

Beechnut – – Stage 2 Stage 2

Butternut Squash, Tender Golden Sweet Potatoes,

Butternut Squash, Tender Golden Sweet Potatoes, Tender Sweet Carrots, Tender Young Green Beans. Tender Sweet Carrots, Tender Young Green Beans.

Gerber

Gerber – – 2nd Foods 2nd Foods

C t G B P S h S t P t t C t G B P S h S t P t t

Carrots, Green Beans, Peas, Squash, Sweet Potatoes.

Nature’s Goodness

Nature’s Goodness – – Stage 2 Stage 2

Carrots, Green Beans, Squash, Sweet Peas, Sweet

Carrots, Green Beans, Squash, Sweet Peas, Sweet Potatoes. Potatoes.

Infant Foods Infant Foods

Infant Meats Infant Meats-

Single

Single ingredient with added broth or gravy. 2.5 oz. ingredient with added broth or gravy. 2.5 oz. glass jars. Multipacks are allowed. No organic or DHA allowed. glass jars. Multipacks are allowed. No organic or DHA allowed.

Beechnut

Beechnut – Stage 1 Stage 1

Beef & Beef Broth, Chicken & Chicken Gravy, Turkey &

Beef & Beef Broth, Chicken & Chicken Gravy, Turkey & Turkey Broth Turkey Broth

Gerber

Gerber – – 2nd Foods 2nd Foods

Beef & Beef Gravy, Chicken & Chicken Gravy, Ham &

Beef & Beef Gravy, Chicken & Chicken Gravy, Ham & Ham Gravy, Lamb & Lamb Gravy, Turkey & Turkey Ham Gravy, Lamb & Lamb Gravy, Turkey & Turkey Gravy Veal & Veal Gravy Gravy Veal & Veal Gravy Gravy, Veal & Veal Gravy. Gravy, Veal & Veal Gravy.

Nature’s Goodness

Nature’s Goodness – – Stage 2 Stage 2

Beef & Beef Gravy, Chicken & Chicken Gravy, Turkey &

Beef & Beef Gravy, Chicken & Chicken Gravy, Turkey & Turkey Gravy. Turkey Gravy.

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Breakfast Cereals Breakfast Cereals

Over half of the breakfast cereals authorized must be whole grain. Over half of the breakfast cereals authorized must be whole grain.

Cheerios

Cheerios – – plain and multigrain plain and multigrain

Wheat Chex

Frosted Mini

Frosted Mini Wheats Wheats Big Bite Bite Size Unfrosted Big Bite Bite Size Unfrosted

Frosted Mini

Frosted Mini- Wheats Wheats – – Big Bite, Bite Size, Unfrosted Big Bite, Bite Size, Unfrosted

Malt

Malt-

O

O-

Meal Mini

Meal Mini-

Spooners

Spooners – – frosted and strawberry cream frosted and strawberry cream

Banana Nut Crunch

Bran Flakes

Honey Bunches of Oats

Honey Bunches of Oats – – Vanilla Bunches Vanilla Bunches

Life

Oatmeal Squares

Oatmeal Squares – – Cinnamon, Hint of Brown Sugar Cinnamon, Hint of Brown Sugar Oat ea Squa es Oat ea Squa es C a

,

t o

Suga

C a

,

t o

Suga

Cream of Wheat with Whole Grain

Instant Oatmeal Regular flavor

Instant Oatmeal Regular flavor – – Quaker and store brands Quaker and store brands

Breakfast Cereal Breakfast Cereal

No longer authorized due to availability and/or meeting No longer authorized due to availability and/or meeting the whole grain requirement. the whole grain requirement.

Homestat Farm

Homestat Farm – – Vermont Style Oatmeal Vermont Style Oatmeal

Malt

Malt-

O

O-

Meal only Mini

Meal only Mini-

Spooners Maple and Brown

Spooners Maple and Brown Sugar and Vanilla Cream. Sugar and Vanilla Cream. Name Change Name Change

Honey Bunches of Oats

Honey Bunches of Oats-

Cinnamon Bunches and

Cinnamon Bunches and Vanilla Bunches Vanilla Bunches Vanilla Bunches. Vanilla Bunches. Limiting Flavors Limiting Flavors

Quaker Instant Grits

Quaker Instant Grits -

Original, Butter flavors

Original, Butter flavors

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6/17/2009 10

Juice Juice

Women are only allowed the 11.5

Women are only allowed the 11.5 -

12 oz.

12 oz. frozen or non frozen or non-frozen concentrate or 46 oz frozen concentrate or 46 oz frozen or non frozen or non frozen concentrate or 46 oz frozen concentrate or 46 oz single strength containers. single strength containers.

Children are only allowed juices in 64 oz.

Children are only allowed juices in 64 oz. single strength containers. single strength containers.

Legumes Legumes

Legumes includes: Legumes includes:

Peanut butter

Dry Beans or Peas

Canned Beans or Peas

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6/17/2009 11

Legumes Legumes

Mature Canned Beans or Peas Mature Canned Beans or Peas

Any type of mature beans, peas, or lentils in

Any type of mature beans, peas, or lentils in a canned form including but not limited to: a canned form including but not limited to: a canned form including, but not limited to: a canned form including, but not limited to:

black beans (“turtle beans”), blackeye

black beans (“turtle beans”), blackeye peas (cowpeas of the blackeye variety, peas (cowpeas of the blackeye variety, “cowpeas”), garbanzo beans “cowpeas”), garbanzo beans (chickpeas) great northern beans (chickpeas) great northern beans (chickpeas), great northern beans, (chickpeas), great northern beans, kidney beans, lima beans (“butter kidney beans, lima beans (“butter beans”), navy beans, pinto beans, beans”), navy beans, pinto beans, soybeans, split peas, and lentils. soybeans, split peas, and lentils.

Legumes Legumes

Mature Canned Beans or Peas Mature Canned Beans or Peas

Allowed:

Mi t

f b d Mi t f b d

Mixtures of beans and peas.

Can sizes

Can sizes -

15 to 16 oz.

15 to 16 oz.

Bush’s and store brands listed on the

Bush’s and store brands listed on the food card. food card.

Low sodium.

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Legumes Legumes

Mature Canned Beans or Peas Mature Canned Beans or Peas

Not Allowed

i

d b i d b

rganic canned beans or peas.
rganic canned beans or peas.

baked beans, chili beans, refried beans,

baked beans, chili beans, refried beans, pork and beans, or soups. pork and beans, or soups.

beans with added fats, oils or meat.

green beans, green/sweet peas, snap

green beans, green/sweet peas, snap beans, wax beans. beans, wax beans.

Milk Milk

Children 12 Children 12 -

23 months of age are only allowed

23 months of age are only allowed whole milk. whole milk. Women and children 2 Women and children 2 -

4 years are only allowed

4 years are only allowed reduced, low fat, and skim milk. reduced, low fat, and skim milk. Exception: Exception:

women and children 2

women and children 2 -

4 years of age may

4 years of age may y g y y g y receive whole milk with a Class II or Class III receive whole milk with a Class II or Class III formula package and medical formula package and medical documentation for a qualifying condition. documentation for a qualifying condition.

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Fresh Fruits and Vegetables Fresh Fruits and Vegetables

A i t f f h A i t f f h

Any variety of fresh

Any variety of fresh whole or cut fruit, whole or cut fruit, without added without added sweeteners. sweeteners.

Any variety of fresh

Any variety of fresh whole or cut whole or cut vegetables without vegetables without vegetables, without vegetables, without added sweeteners, added sweeteners, fats, or oils. fats, or oils.

Fresh Fruits and Vegetables Fresh Fruits and Vegetables

No potatoes except sweet potatoes and yams.

No potatoes except sweet potatoes and yams.

No mature legumes (dry beans and peas) and juices

No mature legumes (dry beans and peas) and juices

No mature legumes (dry beans and peas) and juices.

No mature legumes (dry beans and peas) and juices.

No herbs or spices, edible blossoms and flowers, e.g.

No herbs or spices, edible blossoms and flowers, e.g. squash blossoms. Broccoli, cauliflower and squash blossoms. Broccoli, cauliflower and artichokes are allowed. artichokes are allowed.

No nuts or fruit

No nuts or fruit-

nut mixtures.

nut mixtures.

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Fresh Fruits and Vegetables Fresh Fruits and Vegetables

No fruits and vegetables for purchase on salad bars.

No fruits and vegetables for purchase on salad bars.

No ornamental and decorative fruits and vegetables

No ornamental and decorative fruits and vegetables

No ornamental and decorative fruits and vegetables

No ornamental and decorative fruits and vegetables such as chili peppers on a string, garlic on a string, such as chili peppers on a string, garlic on a string, gourds, or painted pumpkins. gourds, or painted pumpkins.

No fruit baskets and party fruit or vegetable trays with

No fruit baskets and party fruit or vegetable trays with dip, dressing or added food items. dip, dressing or added food items.

Whole Wheat/Whole Grain Breads Whole Wheat/Whole Grain Breads and Tortillas and Tortillas Whole wheat or whole grain must be the first

Whole wheat or whole grain must be the first ingredient. ingredient.

Whole grain bread must meet labeling requirements

Whole grain bread must meet labeling requirements for making a health claim as a “whole grain food with for making a health claim as a “whole grain food with moderate fat content.” moderate fat content.”

Per 50 g serving

Fiber

Fiber ≥ ≥ 2.8 g 2.8 g

Saturated fat

Saturated fat ≤ 1 g ≤ 1 g Saturated fat Saturated fat ≤ 1 g ≤ 1 g

Cholesterol ≤ 20 mg

Trans fat ≤ 0.5 g

Total fat ≤ 6.5 g

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6/17/2009 15

Whole Grain/Whole Wheat Breads Whole Grain/Whole Wheat Breads and Tortillas and Tortillas

Soft corn and whole wheat tortillas must have

Soft corn and whole wheat tortillas must have whole grain as the first ingredient. whole grain as the first ingredient.

Package size allowed is 1 lb (16 oz).

Package size allowed is 1 lb (16 oz).

No organic allowed.

No organic allowed.

May not contain saccharin, aspartame, sucralose

May not contain saccharin, aspartame, sucralose

r DHA
r DHA
r DHA.
r DHA.
Breads and tortillas are brand specific and

Breads and tortillas are brand specific and identified on the food card. identified on the food card.

Whole Wheat/Whole Grain Breads Whole Wheat/Whole Grain Breads

Aunt Millies

Aunt Millies -

Cinnamon Raisin Swirl

Cinnamon Raisin Swirl Cranberry Apple Swirl Cranberry Apple Swirl Whole Grain White Whole Grain White

Healthy Life

Healthy Life -

100% Whole Wheat Whole Grain

100% Whole Wheat Whole Grain

Bunny 100% Whole Wheat

Bunny 100% Whole Wheat

Koepplinger’s

Koepplinger’s -

Lite 100% Whole Wheat

Lite 100% Whole Wheat

Pepperidge Farm

Pepperidge Farm -

100% Whole Wheat

100% Whole Wheat Very Thin Sliced Bread 100% Whole Wheat Very Thin Sliced Bread 100% Whole Wheat J i h R Wh l G i R S d d J i h R Wh l G i R S d d Jewish Rye Whole Grain Rye Seeded Jewish Rye Whole Grain Rye Seeded Whole Grain Swirl Cinnamon with Raisins Whole Grain Swirl Cinnamon with Raisins

Sara Lee

Sara Lee -

Classic 100% Whole Wheat

Classic 100% Whole Wheat

Wonder

Wonder -

Soft 100% Wheat

Soft 100% Wheat

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6/17/2009 16

Soft Corn and Whole Wheat Tortillas Soft Corn and Whole Wheat Tortillas

Don Marcos 18 Corn

Don Marcos 18 Corn

Don Pancho Whole Wheat 10 ct

Don Pancho Whole Wheat 10 ct

Don Pancho 18 count White Corn

Don Pancho 18 count White Corn

La Burrita 12 count Corn

La Burrita 12 count Corn

Chi

Chi-

Chi’s Whole Wheat Fajita Style 8 ct

Chi’s Whole Wheat Fajita Style 8 ct

Mejier Soft Taco Size White Corn

Mejier Soft Taco Size White Corn

Meijer Whole Wheat Fajita Style 8 ct

Meijer Whole Wheat Fajita Style 8 ct

15 Minute Break 15 Minute Break – – Will Return Shortly Will Return Shortly

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7.04 Maximum Food Package 7.04 Maximum Food Package

Th i thl ll f ll Th i thl ll f ll

The maximum monthly allowances of all

The maximum monthly allowances of all supplemental foods in all food packages supplemental foods in all food packages must be made available to clients. must be made available to clients.

The CPA shall assign a maximum food

The CPA shall assign a maximum food k t li t l it i t k t li t l it i t package to a client unless it is not package to a client unless it is not appropriate. appropriate.

Maximum Food Package Maximum Food Package

Assigning Less than the Maximum: Assigning Less than the Maximum: Assigning Less than the Maximum: Assigning Less than the Maximum:

Policy 7.05 Customized Food Package

Policy 7.05 Customized Food Package

Medically or nutritionally warranted (e.g., to

Medically or nutritionally warranted (e.g., to eliminate a food due to a food allergy) eliminate a food due to a food allergy)

A client refuses or cannot use the maximum

A client refuses or cannot use the maximum monthly allowances monthly allowances

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Maximum Food Package Maximum Food Package

Exclusive breastfeeding woman food Exclusive breastfeeding woman food package: package: package: package: Pregnant women of multiple fetuses

Pregnant women of multiple fetuses

Women partially breastfeeding two or

Women partially breastfeeding two or more infants more infants

Women exclusively breastfeeding two

r more infants receives of 1.5 times the
r more infants receives of 1.5 times the

i l i l b tf di i l i l b tf di maximum exclusively breastfeeding maximum exclusively breastfeeding woman package. woman package.

Maximum Food Package Maximum Food Package

Foods Foods Exclusively Exclusively Breastfeeding Women Breastfeeding Women (BE) (BE) Pregnant Women (PG) and Pregnant Women (PG) and Partially Breastfeeding Partially Breastfeeding Women (BP) Women (BP) Juice, single strength Juice, single strength

144 fl oz 144 fl oz 144 fl oz 144 fl oz

Milk, fluid Milk, fluid

18 qt 18 qt 19 qt 19 qt

Breakfast cereal Breakfast cereal

36 oz 36 oz 36 oz 36 oz

Cheese Cheese

3 lb (max. allowed w/o 3 lb (max. allowed w/o medical doc.) medical doc.) 1 lb (max. allowed w/o 1 lb (max. allowed w/o medical documentation) medical documentation)

Eggs Eggs

2 dozen 2 dozen 1 dozen 1 dozen

Fresh fruits and Fresh fruits and

$10.00 cash value $10.00 cash value $8.00 cash value $8.00 cash value

vegetables vegetables Whole wheat Whole wheat bread/tortillas bread/tortillas

1 lb 1 lb 1 lb 1 lb

Fish (canned) Fish (canned)

30 oz 30 oz

Legumes,

Legumes, And Peanut butter And Peanut butter

1 lb (16 oz) dry or 64 1 lb (16 oz) dry or 64

z canned And 18 oz
z canned And 18 oz

1 lb (16 oz) dry or 64 oz 1 lb (16 oz) dry or 64 oz canned And 18 oz canned And 18 oz

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6/17/2009 19

Maximum Food Package Maximum Food Package Non Non-

Lactating Post

Lactating Post-

Partum Women

Partum Women

For breastfeeding women of infants receiving more than

For breastfeeding women of infants receiving more than the maximum amount of formula for partially breastfed the maximum amount of formula for partially breastfed the maximum amount of formula for partially breastfed the maximum amount of formula for partially breastfed infants. infants.

Reduced juice, milk, cheese, and eggs from previous

Reduced juice, milk, cheese, and eggs from previous NPP package. Fresh fruits and vegetables have been NPP package. Fresh fruits and vegetables have been added. added.

Do not receive whole wheat bread/tortillas.

Maximum Food Package Maximum Food Package

Foods Foods Postpartum Women (NPP) Up to 6 months. Postpartum Women (NPP) Up to 6 months. Juice, single strength Juice, single strength 96 fl oz 96 fl oz Milk, fluid Milk, fluid 13 qt 13 qt Cheese Cheese 1 lb (maximum allowed w/o medical 1 lb (maximum allowed w/o medical documentation) documentation) Breakfast cereal Breakfast cereal 36 oz 36 oz Eggs Eggs 1 dozen 1 dozen Fresh fruits and Fresh fruits and vegetables vegetables $8.00 cash value $8.00 cash value Legumes Legumes Or Peanut butter Or Peanut butter 1 lb (16 oz) dry or 64 oz canned 1 lb (16 oz) dry or 64 oz canned Or 18 oz Or 18 oz

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Maximum Food Package Maximum Food Package Partially Breastfed Infants (IBP) and Partially Breastfed Infants (IBP) and Fully Formula Fed Infants (IFF) Fully Formula Fed Infants (IFF)

Maximum package based on

Maximum package based on infant’s age range. infant’s age range.

The powdered formula based

n the manufacturers
n the manufacturers

reconstituted volume. reconstituted volume.

For IBP no routine issuance

f formula
f formula
f formula
f formula

CPA must assess IBP to

CPA must assess IBP to determine if any formula and determine if any formula and the amount needed. the amount needed.

Maximum Food Package Maximum Food Package

Foods Foods Exclusively Breastfed Infants Exclusively Breastfed Infants (IBE) (IBE) Exclusively Breastfed Exclusively Breastfed Infants (IBE) Infants (IBE) (IBE) (IBE) 0-

5 months

5 months Infants (IBE) Infants (IBE) 6-

11 months

11 months WIC Formula WIC Formula 0 – – Receive mother’s milk Receive mother’s milk priceless! priceless! 0 – – Receive mother’s milk, Receive mother’s milk, priceless! priceless! Infant cereal Infant cereal 24 oz 24 oz Baby food Baby food fruits and fruits and 256 oz (64 256 oz (64-

4 oz jars)

4 oz jars) fruits and fruits and vegetables vegetables Baby food Baby food meats meats 77.5 oz (31 77.5 oz (31-

2.5 oz jars)

2.5 oz jars)

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Maximum Food Package Maximum Food Package

Foods Foods Partially Partially Breastfed Breastfed Infants Infants (IBP) (IBP) A: : During During the the first first month month B: : 1 1-

3

3 months months C C: : 4 4-

5

5 months months Partially Partially Breastfed Breastfed Infants Infants 6-

11

11 months months WIC WIC Formula Formula A: : Up Up to to 104 104 fl fl oz

z reconstituted

reconstituted 312 312 fl fl oz

z reconstituted

reconstituted WIC WIC Formula Formula A: : Up Up to to 104 104 fl fl oz

z reconstituted

reconstituted powder powder B: : 364 364 fl fl oz

z reconstituted

reconstituted liquid liquid concentrate concentrate or

r 384

384 fl fl oz

z RTF

RTF or

r

435 435 fl fl oz

z reconstituted

reconstituted powder powder C: : 442 442 fl fl oz

z reconstituted

reconstituted liquid liquid concentrate concentrate or

r 448

448 fl fl oz

z RTF

RTF or

r

522 522 fl fl oz

z reconstituted

reconstituted powder powder 312 312 fl fl oz

z reconstituted

reconstituted liquid liquid concentrate concentrate

r
r

320 320 fl fl oz

z RTF

RTF

r
r

384 384 fl fl oz

z reconstituted

reconstituted powder powder Infant Infant cereal cereal 24 24 oz

z

Baby Baby food food fruits fruits and and vegetables vegetables 128 128 oz

z (

(32 32-

4

4 oz

z jars)

jars)

Maximum Food Package Maximum Food Package

Foods Foods Fully Formula Fed Infants (IFF) Fully Formula Fed Infants (IFF) A: 0 A: 0-

3 months

3 months B: 4 B: 4-

5 months

5 months Fully Formula Fed Fully Formula Fed Infants (IFF) Infants (IFF) 6-

11 months

11 months WIC F l WIC F l A 806 fl tit t d A 806 fl tit t d 624 fl 624 fl WIC Formula WIC Formula A: 806 fl oz reconstituted A: 806 fl oz reconstituted liquid concentrate or 832 fl liquid concentrate or 832 fl

z RTF or 870 fl oz
z RTF or 870 fl oz

reconstituted powder. reconstituted powder. B: 884 fl oz reconstituted B: 884 fl oz reconstituted liquid concentrate or 896 fl liquid concentrate or 896 fl

z RTF or 960 fl oz
z RTF or 960 fl oz

reconstituted powder. reconstituted powder. 624 fl oz 624 fl oz reconstituted reconstituted liquid liquid concentrate or concentrate or 640 fl oz RTF or 640 fl oz RTF or 696 fl oz 696 fl oz reconstituted reconstituted powder. powder. reconstituted powder. reconstituted powder. powder. powder. Infant cereal Infant cereal 24 oz 24 oz Baby food fruits Baby food fruits and vegetables and vegetables 128 oz (32 128 oz (32-

4 oz

4 oz jars) jars)

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Maximum Food Package for Children (C1 Maximum Food Package for Children (C1-

C4)

C4)

Children receive less juice, milk, cheese and eggs.

Children receive fresh fruits and vegetables, and whole

Children receive fresh fruits and vegetables, and whole wheat bread or tortillas wheat bread or tortillas wheat bread or tortillas. wheat bread or tortillas.

Children 1 year of age receive

Children 1 year of age receive only

nly whole milk.

whole milk.

Children 2

Children 2 – – 4 years of age receive reduced fat, low fat or 4 years of age receive reduced fat, low fat or skim milk skim milk unless unless they have a qualifying condition they have a qualifying condition and and require a WIC formula. require a WIC formula.

Maximum Food Package Maximum Food Package

Foods Foods Children (C1 Children (C1-

C4)

C4) Juice, single strength Juice, single strength 128 fl oz 128 fl oz Milk Milk 13 qt 13 qt Cheese Cheese 1 lb (maximum allowed w/o medical 1 lb (maximum allowed w/o medical documentation.) documentation.) Breakfast cereal Breakfast cereal 36 oz 36 oz Eggs Eggs 1 dozen 1 dozen Fresh fruits and vegetables Fresh fruits and vegetables $6.00 cash value $6.00 cash value Whole wheat bread/tortillas Whole wheat bread/tortillas 2 lb 2 lb Legumes Legumes Or Peanut butter Or Peanut butter 1 lb (16 oz.) dry or 64 oz canned 1 lb (16 oz.) dry or 64 oz canned Or 18 oz Or 18 oz

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7.05 Customized Food Package 7.05 Customized Food Package

The CPA shall work with the client to customize the The CPA shall work with the client to customize the food package for the following situations: food package for the following situations: Food preference.

Food preference.

Medical and nutritional needs or risks (e.g., eliminate a

Medical and nutritional needs or risks (e.g., eliminate a food due to a food allergy). food due to a food allergy).

Household conditions (e.g., lack of refrigeration;

Household conditions (e.g., lack of refrigeration; homelessness) homelessness) homelessness). homelessness).

Breastfeeding support by adjusting the food package

Breastfeeding support by adjusting the food package for the partially breastfeeding infant. for the partially breastfeeding infant.

Customized Food Package Customized Food Package

A specific food may also be lessened or A specific food may also be lessened or excluded from an individual's food package if: excluded from an individual's food package if: excluded from an individual s food package if: excluded from an individual s food package if:

It has been determined the food is

It has been determined the food is contraindicated for the client due to a contraindicated for the client due to a special medical or nutritional problem special medical or nutritional problem OR OR OR OR

Client refuses or cannot use the maximum

Client refuses or cannot use the maximum monthly allowance monthly allowance

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6/17/2009 24

Customized Food Package Customized Food Package

Substitutions Substitutions -

Infant cereal and breakfast

Infant cereal and breakfast cereal cereal

For children and women, 32 oz of infant cereal

For children and women, 32 oz of infant cereal may be substituted for 36 oz of breakfast may be substituted for 36 oz of breakfast cereal. cereal.

Customized Food Package Customized Food Package

Substitutions Substitutions -

Evaporated milk

Evaporated milk 20 cans evaporated milk = 16 quarts fluid milk

20 cans evaporated milk = 16 quarts fluid milk + 1 quart fluid milk + 1 quart fluid milk

28 cans evaporated milk = 22 quarts fluid milk

28 cans evaporated milk = 22 quarts fluid milk + 1 quart fluid milk. + 1 quart fluid milk. 32 t d ilk 24 t fl id ilk 32 t d ilk 24 t fl id ilk

32 cans evaporated milk = 24 quarts fluid milk

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6/17/2009 25

Customized Food Package Customized Food Package

Substitutions Substitutions -

Powdered dry milk

Powdered dry milk 64 oz box powdered dry milk = 20 quarts fluid milk

64 oz box powdered dry milk = 20 quarts fluid milk

32 oz box powdered dry milk = 10 quarts fluid milk

25.6 oz box powdered dry milk = 8 quarts fluid milk

Customized Food Package Customized Food Package

Substitutions Substitutions -

Cheese

Cheese 1 pound of cheese per 3 quarts fluid milk. For children, pregnant and partially breastfeeding

women and non-lactating postpartum women, no more than 1 lb of cheese may be substituted for 3 quarts of milk without medical documentation.

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6/17/2009 26

Customized Food Package Customized Food Package

Substitutions Substitutions -

Cheese

Cheese

Exclusively breastfeeding women

1 pound of cheese per 3 quarts of milk. No more

1 pound of cheese per 3 quarts of milk. No more than 2 lb of cheese for 6 quarts milk without medical than 2 lb of cheese for 6 quarts milk without medical documentation. documentation.

Children and women

Children and women May substitute additional cheese for lactose May substitute additional cheese for lactose

May substitute additional cheese for lactose

May substitute additional cheese for lactose intolerance or other qualifying conditions up to the intolerance or other qualifying conditions up to the maximum allowance for milk with medical maximum allowance for milk with medical documentation. documentation.

Customized Food Package Customized Food Package

Substitutions Substitutions -

Peanut Butter, Dry Beans/Peas,

Peanut Butter, Dry Beans/Peas, and Canned Beans/Peas and Canned Beans/Peas

64 oz canned beans/peas (4 cans) 64 oz canned beans/peas (4 cans) = 1 lb of dry beans/peas = 1 lb of dry beans/peas = 18 oz. of peanut butter = 18 oz. of peanut butter

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6/17/2009 27

Customized Food Package Customized Food Package

Substitutions Substitutions -

Peanut Butter, Dry Beans/Peas,

Peanut Butter, Dry Beans/Peas, and Canned Beans/Peas and Canned Beans/Peas

For pregnant (PG), partially breastfeeding (BP) women

For pregnant (PG), partially breastfeeding (BP) women and exclusively breastfeeding (BE) women and exclusively breastfeeding (BE) women

Options:

1 lb of dry beans/peas + 64 oz canned beans/peas

2 lb of dry beans/peas

128 oz canned beans/peas

36 oz peanut butter

1 lb of dry beans/peas + 18 oz peanut butter

64 oz canned beans/peas + 18 oz peanut butter

MI MI-

WIC Implementation

WIC Implementation

New age ranges for infants

IBP

0 through less than 1

0 through less than 1 month month

1 through 3 months

IFF

0 through 3 months

IBP/IFF

4 through 5 months

6 through 11 months

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6/17/2009 28

MI MI-

WIC Implementation

WIC Implementation

BE Food Packages

Will display for PG expecting more than one infant

Will display for BP breastfeeding more than one infant

Will alert with option to display BE exclusively

Will alert with option to display BE exclusively breastfeeding two or more with 1 5 times the amount breastfeeding two or more with 1 5 times the amount breastfeeding two or more with 1.5 times the amount breastfeeding two or more with 1.5 times the amount

Monthly amount of foods

Monthly amount of foods will vary depending on will vary depending on the food item. the food item.

MI MI-

WIC Implementation

WIC Implementation

Cheese Maximum

Will provide alert if food package is customized to

Will provide alert if food package is customized to provide additional cheese provide additional cheese

The alert will remind staff to scan Medical

The alert will remind staff to scan Medical Documentation form for additional cheese substitute Documentation form for additional cheese substitute

Will require an Expiration Date for additional cheese

Will require an Expiration Date for additional cheese substitute not to exceed Cert End Date substitute not to exceed Cert End Date

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6/17/2009 29

MI MI-

WIC Implementation

WIC Implementation

Expiration Date Required

For all Class II and Class I formulas for a child

Alert

For infant 6

For infant 6-

11 months old receiving Class II or Class III formula

11 months old receiving Class II or Class III formula and not receiving infant foods. and not receiving infant foods.

Option to assign the maximum formula allowed for a 4

Option to assign the maximum formula allowed for a 4-

5

5 month old month old

Validate

To assign a food package with whole milk to a woman or child 2

To assign a food package with whole milk to a woman or child 2 years or older, a Class II or Class III formula must be included in years or older, a Class II or Class III formula must be included in the package the package

MI MI-

WIC Implementation

WIC Implementation

Will calculate formula maximums in each food package

Will calculate formula maximums in each food package according to the infant’s age range and category and according to the infant’s age range and category and based on the manufacturers reconstituted amount for based on the manufacturers reconstituted amount for based on the manufacturers reconstituted amount for based on the manufacturers reconstituted amount for powder formula powder formula

Refer to handout

Refer to handout – – MI WIC Contract Formulas MI WIC Contract Formulas

Implementation Rule:

Implementation Rule: p

Current standard food packages will automatically

Current standard food packages will automatically convert to maximum food packages. convert to maximum food packages.

“Underweight” risk assignment alert for a maximum

“Underweight” risk assignment alert for a maximum food package will be removed. food package will be removed.

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6/17/2009 30

MI MI-

WIC Implementation

WIC Implementation

BP Woman

When IBP infant (1

When IBP infant (1-

5 months) receives more

5 months) receives more formula than the IBP maximum, NPP formula than the IBP maximum, NPP packages will display for BP woman. packages will display for BP woman.

When IBP infant (6

When IBP infant (6-11 months) receives more 11 months) receives more

When IBP infant (6

When IBP infant (6-11 months) receives more 11 months) receives more formula than the IBP maximum, BP woman formula than the IBP maximum, BP woman will not receive food benefits, but will be will not receive food benefits, but will be counted as a client. counted as a client. Educational Resources Educational Resources

Staff Staff

Staff

Spotlight: The New Food

Spotlight: The New Food Packages Promote Healthier Packages Promote Healthier Choices Choices

Clients

Video Vignettes

Shopping list

WIC Food Card

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6/17/2009 31

Communicating Changes to Clients Communicating Changes to Clients

Wh t th t t th i t i t t Wh t th t t th i t i t t

What can they expect at their next appointment.

The foods that they can expect to receive.

What medical documentation they might need.

Information specific to their situation.

New Food Package Transition New Food Package Transition

Implementation August 1, 2009.

WIC Notice # 2009

WIC Notice # 2009-

33

33

No WIC services should be provided August 1,

No WIC services should be provided August 1, 2009. 2009.

If clients have already been scheduled, please

If clients have already been scheduled, please contact to reschedule appointments. contact to reschedule appointments. contact to reschedule appointments. contact to reschedule appointments.

Clients will be issued new food packages

Clients will be issued new food packages beginning August 3, 2009. beginning August 3, 2009.

SLIDE 32